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Doc No: EES /ERP
Enerfab Engineering Services Australia
P +61 386 691 990E info@enerfab.com.au Rev No: 00
5 England Street, Dandenong South, VIC 3175, Australia Date of Issue:
Title: Safety Induction Evaluation Form

01. Personnel Details

Date
Full name:
Supervisor
name:

02. Introduction

This induction introduces personnel to the hazards and risks associated with your workplace,
including the activities that you will undertake and the environment that you are working in.
An induction will also provide information on relevant health and safety procedures that:
 identify and control risk; and
 provide emergency information.

03. Health & Safety Induction Checklist

Need to be evaluating the Employee by knowledge of safety area.

Very poor

Neutral

Great
Good
Poor
# Area Comment

0 Knowledge of Has a clear idea about the workplace and type

1 workplace of job
0 Personal safety Has a clear idea about the personal safety
2
0 Knowledge of Has a clear idea about the importance of PPE
3 PPE
0 Safety of work Has a clear idea to prepare a suitable workplace
4 area before operating the power tool
0 Electrical safety Has a clear idea to check electrical safety before
5 operating the power tool
Operational & Has a clear idea to operate each machine with
0
Equipment safety
6
safety
0 Knowledge of Has a clear idea about the potential hazards and
potential hazards injuries if violate the above 2,3,4,5 & 6 area
7 and injuries

ERP Page 1 of 2
Internal Use Only Revision: 0
© Enerfab 2023. All Rights Reserved Warning: Printed documents are UNCONTROLLED Commercial in Confidence
 www.enerfab.com.au
Doc No: EES /ERP
Enerfab Engineering Services Australia
P +61 386 691 990E info@enerfab.com.au Rev No: 00
5 England Street, Dandenong South, VIC 3175, Australia Date of Issue:
Title: Safety Induction Evaluation Form

 Improvement Needed:
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………………………………………………………….

Trainee Signature: ……………………………………………………….

Evaluator Signature: ……………………………………………………

ERP Page 2 of 2
Internal Use Only Revision: 0
© Enerfab 2023. All Rights Reserved Warning: Printed documents are UNCONTROLLED Commercial in Confidence